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Destroying a Facial Pain Nerve at the Skull Base

Nationwide rates for HCPCS 64610

A needle is guided through the cheek to the small opening at the base of the skull where branches of the main facial sensation nerve pass, with x-ray imaging used to confirm the position. The nerve branches are then destroyed to stop severe, electric-shock-like facial pain. It is used when medicines no longer control the pain.

Rates data updated July 2026.

Facilitymedian $2,951 · 10th–90th $676$8,9130%5%10%10th90th$2,951Professionalmedian $1,047 · 10th–90th $457$2,0420%10%10th90th$1,047$5.0$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,630.27
Typical High
$8,912.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$4,168.69
Typical High
$10,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,548.82
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,981.07
Typical High
$9,120.11